Publications by authors named "Tilo Trommer"

Article Synopsis
  • Increasing economic pressure is driving the need for better optimization of operational processes in surgical operating rooms (ORs), particularly in arthroscopic surgery, to ensure efficient use of limited resources and handle complex workflows.
  • A study was conducted that recorded and analyzed perioperative processes from 53 surgeries at a university hospital and 66 at an outpatient clinic, using a newly developed software toolset for detailed workflow analysis.
  • The analysis revealed significant differences in performance, with the outpatient clinic consistently performing faster in preoperative and postoperative phases compared to the university hospital.
View Article and Find Full Text PDF

Purpose: Degeneration of the cartilage after anterior cruciate ligament reconstruction (ACL-R) is known, and further deterioration can be expected in patients with tunnel malplacement or partial meniscal resection. It was hypothesized that there is a significant increase in cartilage degeneration after failed ACL-R.

Material And Methods: Isolated ACL revision surgery was performed in 154 patients at an interval of 46 ± 33 months (5-175 months) between primary and revision surgery.

View Article and Find Full Text PDF

Purpose: Effusion, impaired muscle function and knee instability are considered as some of the most important factors effecting outcome following anterior cruciate ligament reconstruction (ACL-R) but the impact on revision ACL-R remains unclear. It was hypothesized that these factors will significantly worsen clinical outcome following revision ACL-R.

Methods: Seventy knees (13 female and 57 male) were followed retrospectively after revision ACL-R at a mean follow-up of 47.

View Article and Find Full Text PDF

Introduction: Osteochondritis dissecans (OCD) within the weight-bearing femoral condyle carries a high risk of osteoarthritis. The definitive pathogenetic cause is unclear. Therefore biochemical and cellular features of OCD were analyzed and compared to macroscopically normal cartilage of the same joint surface.

View Article and Find Full Text PDF

Degeneration of the rotator cuff is often associated with inflammation of the subacromial bursa and focal mineralization of the supraspinatus tendon. Portions of the supraspinatus tendon distant from the insertion site could transform into fibrous cartilage, causing rotator-cuff tears owing to mechanical instability. Indirect evidence is presented to link this pathology to ectopic production and secretion of bioactive bone morphogenetic proteins (BMPs) from sites within the subacromial bursa.

View Article and Find Full Text PDF